NICORETTE® Gum

Relieves cravings and withdrawal symptoms
- The REDUCE-TO-QUIT^® program can increase the chances of quitting by up to 4X in those who have not been able to quit before¹⁸
  
  Those who successfully reduced with NICORETTE^® had a 1 in 3 likelihood of quitting in the long-term¹⁸
  
  Gum has been shown to double the chances of quitting successfully at 12 months¹⁸
  
  Helps manage breakthrough cravings¹⁸

Dosing & Usage

Stop to Quit method

WEEKS 1-2

10-20 pieces/day
One every time there is an urge to smoke

WEEKS 3-4

8-15 pieces/day
One every time there is an urge to smoke

MONTH 2

4-10 pieces/day
One every 2-4 hrs

MONTH 3

2-5 pieces/day
One every 4-8 hrs

MONTHS 4-6

1 piece every time the urge to smoke returns

Instruct patients to not chew more than one piece of NICORETTE® Gum at a time or to exceed 20 pieces per day.

**REDUCE-TO-QUIT^® method**
FIRST 6 WEEKS	WEEKS 7-16	WEEKS 17-24
Easing into it	Cigarettes cut down by 50%	Cigarettes gradually eliminated from the day
Patients identify the cigarettes that matter least	Eliminate some of the more ‘important’ cigarettes (e.g., first of the day, after meals)	Stay focused on their goal
Replaced with NICORETTE^® Gum	NICORETTE^® Gum is used to help manage cravings and withdrawal symptoms	Patients can move on to the Stop to Quit program (Stop smoking completely and follow Gum Program 1 as per the package insert)

Instruct patients to not chew more than one piece of NICORETTE^® Gum at a time or to exceed 20 pieces per day. ¹⁸

It is important to complete treatment. If you feel that your patient needs to use NICORETTE® Gum for longer than 6 months in the Stop to Quit program or 12 months in the REDUCE TO QUIT® program to keep from smoking, reassess your patient.

If your patient is using NICORETTE® Gum while trying to quit smoking but they slip up and have a cigarette, instruct them that they should not stop using NICORETTE® Gum. They should keep using it and keep trying to quit.

If the amounts of NICORETTE® Gum your patient is taking do not help them to stop smoking, reassess them and explore about using more than one type of nicotine replacement therapy at the same time.

How to properly chew the Gum
- Patient counselling: How to properly chew NICORETTE^® Gum¹⁸
  
  Typically 1-2 chews Chew the Gum until the taste becomes strong
  
  1 minute Rest the Gum between your cheek and gums
  
  Chew and Repeat After about 30 minutes, you have released all the medicine
Known Adverse Reactions
- NICORETTE^® Gum can occasionally cause mouth or throat irritation, jaw ache, headaches, nausea, hiccups, upset stomach or dizziness.¹⁸

For complete directions for use and warnings, always refer to the product insert/booklet provided with the product.

Cautions and Warnings
- Do not use if the blister foil is punctured or damaged.
  
  DO NOT USE IF YOUR PATIENT: Is under 18 years of age; is pregnant or nursing; has a jaw disorder; has heart arrhythmias; has had a heart attack; has angina pectoris; or is allergic to nicotine or to any of the non-medicinal ingredients in the product.
  
  USE WITH CAUTION IF YOUR PATIENT: has/had heart disease, a heart attack, heart pain, irregular heartbeat or a stroke or have ever had high blood pressure, blood circulation problems or treatment for circulation disorders of the brain, asthma, chronic lung problems, throat diseases, thyroid problems, stomach problems, ulcers or inflammation of the esophagus, kidney or liver disease, diabetes requiring insulin or are taking any prescription medications.
  
  Keep out of reach of children and pets.
  
  For Product Support, call 1-866-311-5655.
Ingredients
- NICORETTE® 2 mg Ultra Fresh Mint: acacia, acesulfame potassium, carnauba wax, gum base, magnesium oxide, menthol, peppermint oil, sodium bicarbonate, sodium carbonate, titanium dioxide, xylitol.
  
  NICORETTE® 4 mg Ultra Fresh Mint: acacia, acesulfame potassium, carnauba wax, gum base, magnesium oxide, menthol, peppermint oil, Quinoline yellow E 104 Al-Lake, sodium carbonate, titanium dioxide, xylitol.
  
  NICORETTE® 2 mg Fresh Fruit: acacia, acesulfame potassium, carnauba wax, flavour, gum base, hypromellose, magnesium oxide, menthol, peppermint oil, polysorbate 80, sodium bicarbonate, sodium carbonate, sucralose, titanium dioxide, xylitol.
  
  NICORETTE® 4 mg Fresh Fruit: acacia, acesulfame potassium, carnauba wax, flavour, gum base, hypromellose, magnesium oxide, menthol, peppermint oil, polysorbate 80, Quinoline yellow E 104 Al-Lake, sodium carbonate, sucralose, titanium dioxide, xylitol.
  
  NICORETTE® 2 mg Cinnamon: acacia, acesulfame potassium, black iron oxide, carnauba wax, flavours, gum base, hypromellose, magnesium oxide, menthol, peppermint oil, polysorbate 80, sodium bicarbonate, sodium carbonate, sucralose, titanium dioxide, xylitol.
  
  NICORETTE® 4 mg Cinnamon: acacia, acesulfame potassium, black iron oxide, carnauba wax, D&C Yellow No. 10 Al-Lake, flavours, gum base, hypromellose, magnesium oxide, menthol, peppermint oil, polysorbate 80, sodium carbonate, sucralose, titanium dioxide, xylitol.
  
  NOTE: Cinnamon Gum contains natural and synthetic cinnamon flavours that may cause allergic reactions (Uncommon: oral blisters).
  
  NICORETTE® 2 mg EXTREME CHILL® MINT: acesulfame potassium, carnauba wax, corn starch, flavour, gum base, hypromellose, magnesium oxide, menthol, peppermint oil, polysorbate 80, sodium bicarbonate, sodium carbonate, sucralose, titanium dioxide, xylitol.
  
  NICORETTE® 4 mg EXTREME CHILL® MINT: acesulfame potassium, carnauba wax, corn starch, flavour, gum base, hypromellose, magnesium oxide, menthol, peppermint oil, polysorbate 80, Quinoline yellow E 104 Al-Lake, sodium carbonate, sucralose, titanium dioxide, xylitol.
  
  NICORETTE® 2 mg Spearmint: acacia, acesulfame potassium, black iron oxide, carnauba wax, flavour (contains chamomile), gum base, hypromellose, magnesium oxide, menthol, peppermint oil, polysorbate 80, sodium bicarbonate, sodium carbonate, sucralose, titanium dioxide, xylitol.
  
  NICORETTE® 4 mg Spearmint: acacia, acesulfame potassium, black iron oxide, carnauba wax, D&C Yellow No. 10 Al-Lake, flavour (contains chamomile), gum base, hypromellose, magnesium oxide, menthol, peppermint oil, polysorbate 80, sodium carbonate, sucralose, titanium dioxide, xylitol.
  
  NOTE: Chamomile (a minor flavouring ingredient in the gum) has been documented as rarely causing hypersensitivity reactions, and very rarely anaphylaxis. Cross reactions may occur in people with allergy to the composite family of plants.

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